HomeMy WebLinkAboutBuilding Permit AppAm,
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4)17i Gae '772-99 9-2038
Fax; 772-999-2 039
Owner's name: —�tjta,?� Job address: Q1— 1)r
POD's name:
Plan examiner's name:
• Application
• Signed estimate
• Copy of survey/drawing
• NOC
• Declaration of covenant
Date: Un
(please print clearly)
(please print clearly)
Please call our office with any questions 772-999-2038 or email to elizabeth@adamsfencecompany.com
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-17-21 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5495 McDonnell Dr
Property Tax ID #: __ 1301-614-0181 _0n0_4 Lot No, 9
Site Plan Name: Block No.
Project Name: _Kellie Block
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank _ Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: —
Cost of Construction: ' l 5 [ 6 rtltilities: _ Sewer — Septic
— Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Kellie Block
Name: Steve Adams
Address:5495 McDonnell Dr
Company: Adams Fence ILL
City: Ft. Pierce State: R
Zip Code: 34_ 951 _ Fax:
Phone No. 404-597-1233
-Company
Address:1206 8th Street
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-999-2038
E-Mail info@0damsfencinacomn0y com
State or County License
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN I FORMATION:
Utb1UNtK/LNV3INEER: Not Applicable
Name:
Address:
City: State:
Zip: — Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not App"le
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: _ Phone
—Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is herebymade to obtain a permit to do the work and installationUftfitated.
I certify that no work or installation has commenced prior to the Issuange of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such.
structure. Please consult with your Home Owners Association and review your deed for arty restrictions which may. apply.
In consideration of the grandng of tl*,requested permit, I do hereby agree that I will, in 00 respects, perform the work
.in accordance with the approved pla#&*
e Florida Building Codes and St. Lucie County Alhondments.
The following building permit applications are exempt from undergoing a full concurrencyTeview: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothpo' 'esidential use
er .6-r
"WARNING TO OWNEW YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY A . ESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNFY RFFous: RF'rnunrau ym in un eic
Steve Adam
Steve Adams
Signature Of Owner/ Less(e/Contractd�qas Agent for Owner
Signature of Co-n—tra(A6r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNWOF—_ Inriian Pixin[
COUNTY OF Indian River
The forgoing Instrument was acknowledged before me
The for in instrument was acknowledged beftwej#e,
this L-0. iyof August, 2021 by
2021 by
Name of person making statement.
Name of person making statement
Personally Known -_ V OR Produced Identification
Personally Known V OR Produced Identification
Type of identification
Type of Identification
Produmd
Produced
. .... ROBIN LIRA RURIN
R1 pub,
(Sign a'iu'r e �ukbfttji€torida
CS14nature of N S str
=tate!!of
Commission No ati FI
eam M# HM3
Commissi State ofFlorida
M H1680or
EmTres 23
Exoires R/�02/2n?q
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
—DATE
COUNTFA
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
_REVIEW
RECEIVED
DATE
COMPLETED
Te_v—.27719—
. .....
. . ...... ..
NOTICE OF COMMENCEMENT
TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 OR
WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,500.00
Permit #: Tax Folio #: 1301-614-0181-000-4
State of Florida, County of Irdiondbrr4 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal description of the property (and complete street address if available):
Lakewood Park -Unit 12-Blk 164 Lot 9 (Map 13/12S) 5495 McDonnell Dr Vero Beach, FI 32951
General description of improvement:
Fence Installation
Owner information or 01-essee information (if the Lessee contracted for the improvement):
a. Name: Kellie Block
b. Address:
(street address) (complete city name)
c. Interest in property: 100%
d. Name & complete address of fee simple titleholder (if different from Owner listed above):
N/A
(state) (zip code)
4. Contractor:
a. Name: Adam's Fence 2 LLC
b. Address: 1206 8th St Vern Bparh FL 32962
(street address) (complete city name) (state) (zip code)
c. Phone number: 772-999-2038
5. Surety Company (if applicable, a copy of the payment bond is attached):
a. Name & complete street address: N/A
b. Phone number: Bond amount:
6. Lender/Mortgage Company. N/A
a. Name & complete street address:
b. Lender's phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes:
a. Name & complete street address: N/A
b. Phone number: Fax number:
8. In addition to himself or herself,
a. Owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number:
9. Expiration date of notice of commencement:
(the expiration date will be 1 year from the date of recording unless a different date is specified).
WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13.
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
(Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) (Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day of August , 2021
By: (printed name of person signing above) Kellie Block
As:
For
(type of authority, e.g. officer, trustee, attorney in fact) (name of party on behalf of whom instrument was executed)
OPersonally Known OR QProduced Identification Type of Identification Produced
Sherr Farrell : �`� • • 9F�'%
Notary Seal co
BLI&
Nota Signature C rokee Co ty CEpRURp
` n Expires
Notary Printed Name •' , ; Q
March 3 2023 �rF '• •.......••
.,//sFC 0 i N,
r
SHEET 1 OF 2 (SURVEY SKETCH) -------- SURVEY NOT COMPLETE WITHOUT ALL SHEETS
MAP OF BOUNDARY SURVEY PREPARED FOR KELLIE BLOCK —1
NW CORNER OF
BLOCK 64 0
0
650.52' r'
FIR 5/8
(NO ID)
BEARING
BASIS
LOT 10
BLOCK 64 F)
s
�1
V1
`v1
1"
LOT 7
BLOCK 64
SW JULIET AVENUE
70 R
20' ASPHALT ROADWAY
118,75'
��•
FlR 5/8'
NO ID)
•`• ••t•
R 5/8' 3e
(NO ID)
9
® /I
�F
LOT 9 '" *Pi
-
BLOCK 64 `a
NOTABLE CONDITIONS:
PROPERTY APPEARS TO BE SERVICED BY PUBLIC UTILITIES.
THERE IS A REAR 10PUBLIC UTILfTYAND DRAINAGE EASEMENT.
LOT 8
BLOCK 64
BEARINGS AND DISTANCES SHOWN ARE RECORD AND MEASURED, UNLESS OTHERWISE SHOWN.
&D.E. - PUBLIC U77LI YAND DRAINAGE EASEMENT
RINGS ARE BASED UPON THE RECORD BEARING.
I.B. 2I01—
REVISION.
FIELD DATE - 0810912021
REVISION
DRAWN BY - C.T
REVISION,
REVISION
REVISION
REVISION
REVISION -
REVISION -
REVISION -
FLORIDA BUSINESS CERTIFICATE OF AUTHORIZATION NUMBER LB 6912
.......____-....__.. .
FIR5/e' 35.00' K
(NO ID)
L=107,56'
=429,56'
A=14°22'13'
L=36,17'
R=20,00'
0=103'38'01'
o LY-, �LW
GL, 3Dq51
NORTHARROW &
GRAPHIC SCALE
020,
KNOW IT NOW, INC.
PROFESSIONAL SURVEYING AND MAPPING
5220 US HIGHWAY 1, # 104
VERO BEACH, FL 32967
PHONE - (888) 396-7770
WWW.KINSURVEY.COM